Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $1,426.00 / $8,017.00	Facility		$67.36	$1,426.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $70.77 / $173.03	Professional		$31.92	$70.77	$173.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $152.37 / $152.37	Professional		$152.37	$152.37	$152.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $53.51 / $91.17	Professional		$50.45	$53.51	$91.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $5,044.89	Facility		$1,083.51	$1,395.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $104.32 / $130.32	Professional		$100.53	$104.32	$130.32
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $100.53 / $133.76 / $175.55	Professional	50	$100.53	$133.76	$175.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $71.40 / $152.50	Professional		$34.67	$71.40	$152.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $121.02 / $160.07	Professional		$19.20	$121.02	$160.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.29 / $890.62 / $1,147.10	Facility		$595.29	$890.62	$1,147.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $101.55 / $111.58	Professional		$61.81	$101.55	$111.58
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $52.54 / $91.17	Professional		$50.45	$52.54	$91.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $1,544.00 / $8,017.00	Facility		$173.03	$1,544.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $82.95 / $181.11	Professional		$33.39	$82.95	$181.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $65.20 / $141.90	Professional		$35.17	$65.20	$141.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Facility		$63.92	$63.92	$63.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $74.15 / $158.12	Professional		$35.17	$74.15	$158.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $37.09 / $102.29	Facility		$36.85	$37.09	$102.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $62.99 / $110.23	Professional		$36.85	$62.99	$110.23
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $108.15 / $192.89	Professional		$63.32	$108.15	$192.89